National Health Performance Authority

Healthy Communities:
Immunisation rates for children in 2011–12

National Health Performance Authority
Healthy Communities:
Immunisation rates for children in 2011–12

National Health Performance Authority GPO Box 9848 Sydney, NSW 2001 Australia Telephone: +61 2 9186 9210 www.nhpa.gov.au Paper-based publications © Commonwealth of Australia 2013 This work is copyright. You may reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from the Commonwealth to do so. Internet sites © Commonwealth of Australia 2013 This work is copyright. You may download, display, print and reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from the Commonwealth to do so. Requests and inquiries concerning reproduction and rights are to be sent to Communications, MDP 158, National Health Performance Authority, GPO Box 9848, Sydney NSW 2001, or by email to nhpawebmaster@nhpa.gov.au ISSN: 2201-8212 ISBN: 978-1-74241-900-8 Online ISBN: 978-1-74241-901-5 Suggested citation: National Health Performance Authority 2013, Healthy Communities: Immunisation rates for children in 2011–12, NHPA, Sydney. Further copies of this document can be downloaded from www.nhpa.gov.au Published April 2013. Please note that there is the potential for minor revisions of this report. Please check www.nhpa.gov.au for any amendments.

Table of contents
About the Authority. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Key findings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Next steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . About this report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Why immunisation matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Improving uptake .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . About the data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Key findings: All children. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Percentages fully immunised: Variation by Medicare Local catchment . . . . . . . . . . . . . . . . . . . Percentages fully immunised: Variation by age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Numbers of children not fully immunised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lower-level reporting .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Key findings: Aboriginal and Torres Strait Islander children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Percentages fully immunised: Variation by Medicare Local catchment . . . . . . . . . . . . . . . . . . . . Percentages fully immunised: Variation by age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Numbers of children not fully immunised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Comparison between percentages of Aboriginal and Torres Strait Islander children fully immunised and all children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 1 2 3 5 5 5 5 6 7 7 7 8 8

Children fully immunised: Medicare Local catchment snapshot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Aboriginal and Torres Strait Islander children fully immunised: Medicare Local catchment snapshot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Children aged 1 year who were fully immunised, 2011–12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Aboriginal and Torres Strait Islander children aged 1 year who were fully immunised, 2011–12 . . . 17 Children aged 2 years who were fully immunised, 2011–12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Aboriginal and Torres Strait Islander children aged 2 years who were fully immunised, 2011–12 . . . 21 Children aged 5 years who were fully immunised, 2011–12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Aboriginal and Torres Strait Islander children aged 5 years who were fully immunised, 2011–12 . . . 25 Children aged 1 year who were fully immunised, by statistical area, 2011–12 . . . . . . . . . . . . . . . . . 29 Children aged 2 years who were fully immunised, by statistical area, 2011–12 . . . . . . . . . . . . . . . . 33 Children aged 5 years who were fully immunised, by statistical area, 2011–12 . . . . . . . . . . . . . . . . 37 Glossary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Acknowledgements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
National Health Performance Authority www.nhpa.gov.au Healthy Communities: Immunisation rates for children in 2011–12

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Healthy Communities: Immunisation rates for children in 2011–12

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National Health Performance Authority

About the Authority
The National Health Performance Authority (the Authority) is an independent body that provides locally relevant and nationally consistent information on the performance of hospitals and other health care organisations. The Authority was set up under the National Health Reform Act 2011 and commenced full operations in 2012. Under the terms of the Act, the Authority monitors, and reports on, the performance of Local Hospital Networks, public and private hospitals, primary health care organisations and other bodies that provide health care services. The Authority’s reports provide timely and impartial information that allows all Australians to fairly compare their local health care organisations against their peers. The reports let people see, for the first time, how their local health care organisations measure up against comparable organisations across Australia. The Authority’s activities are guided by a document called the Performance and Accountability Framework agreed by the Council of Australian Governments (COAG). The framework contains 48 indicators that form the basis for the Authority’s reports. The Authority’s role includes reporting on the performance of health care organisations against the 48 indicators in order to identify both highperforming Local Hospital Networks, Medicare Locals and hospitals (so effective practices can be shared), and Local Hospital Networks and Medicare Locals that perform poorly (so that steps can be taken to address problems). The Authority releases reports on a quarterly basis, and also publishes performance data on the MyHospitals website and on www.nhpa.gov.au The Authority consists of a Chairman, a Deputy Chairman and five other members, appointed for up to five years. Members of the Authority are: • Ms Patricia Faulkner AO (Chairman) • Mr John Walsh AM (Deputy Chairman) • Dr David Filby PSM • Prof Michael Reid • Prof Bryant Stokes AM RFD • Prof Paul Torzillo AM • Prof Claire Jackson (acting member). The conclusions in this report are those of the Authority. No official endorsement from any Minister, department of health or health care organisation is intended or should be inferred.

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Summary
Immunisation helps protect individuals and the community generally against potentially serious diseases such as measles, polio, tetanus and whooping cough (pertussis). Although the great majority of children in Australia are immunised, it is important to maintain high immunisation rates to reduce the risk of outbreaks of these and other diseases recurring. Australian governments and experts endorse achieving high immunisation rates to protect individuals and those not immunised or too young to be immunised. States and territories are expected to maintain or improve their existing respective immunisation rates under the terms of the National Partnership Agreement on Essential Vaccines agreed in 2009. This report allows the public, clinicians and health managers to see for all children, and for Aboriginal and Torres Strait Islander children, the percentages fully immunised and how those percentages differ across the country. It reports these immunisation rates for each of the 61 geographic areas covered by the new network of Medicare Locals, which have been established to improve the responsiveness, coordination and integration of local health services. These data were sourced from the Australian Childhood Immunisation Register (ACIR). It is important to note that these data cover the period from July 2011 to June 2012. As Medicare Locals were still being set up during this time, this report establishes a baseline for comparisons that in future will help clinicians, health managers and others to assess whether improvements are occurring. Where possible, the results are broken down into geographic areas that are smaller than Medicare Local catchments – more than 300 statistical areas and more than 1500 postcodes. The report shows the percentages of children who were fully immunised at 1 year, 2 years and 5 years in each Medicare Local catchment, and in the smaller units of geography where applicable. Also reported are the numbers of children in each area who are not fully immunised.

Key findings
The report’s findings can be considered in the context of three broad themes: • The percentages of children fully immunised and variation between Medicare Local catchments, and between age groups • The numbers of children who are not fully immunised in each Medicare Local catchment • Lower immunisation rates among Aboriginal and Torres Strait Islander children.

Percentages fully immunised and variation between Medicare Local catchments
There was considerable variation between Medicare Local catchments in terms of the percentages of all children fully immunised across all three age groups (Figure 3, page 10). The percentages of all children fully immunised at: • 1 year of age ranged from 85% in Far West NSW to 94% in Great South Coast (Vic), Hume (Vic), Barwon (Vic), Murrumbidgee (NSW), Grampians (Vic), Goulburn Valley (Vic) and Australian Capital Territory (page 16).

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• 2 years of age ranged from 89% in North Coast NSW, Eastern Sydney and Sunshine Coast (Qld) to 96% in Great South Coast (Vic) (page 20) • 5 years of age ranged from 84% in Eastern Sydney to 95% in Great South Coast (Vic) (page 24).

• 2 years of age ranged from 80% in Central Adelaide and Hills to 97% in Northern Territory and Gold Coast (Qld) (page 22) • 5 years of age ranged from 70% in Perth North Metro to 95% in Central and North West Queensland (page 26). Not only were the ranges wider when looking at Aboriginal and Torres Strait Islander children, but the percentages were lower among a large number of Medicare Local catchments. The number of Medicare Local catchments where less than 90% of children were fully immunised was as follows1: 1 year of age: All children: 2 (of 61 reported) Indigenous children: 46 (of 54 reported)2 2 years of age: All children: 3 (of 61 reported) Indigenous children: 16 (of 56 reported) 5 years of age: All children: 23 (of 61 reported) Indigenous children: 35 (of 55 reported) There were also 12 Medicare Local catchments where less than 80% of Aboriginal and Torres Strait Islander children, in at least one age group, were fully immunised – eight for 1 year olds and nine for 5 year olds. No catchments returned results below 80% for all children (pages 18 and 26).

Variation across age groups
Comparing the three age groups, percentages of children fully immunised were highest at 2 years of age. Out of the three age groups, percentages of all children fully immunised at 2 years of age were highest (or equal highest) for all but seven of the 61 Medicare Local catchments (Figure 3, page 10). Rates were lowest at 5 years of age. Percentages of all children fully immunised at 5 years were lowest (or equal lowest) of the three age groups for all but four of the 61 Medicare Locals.

Aboriginal and Torres Strait Islander children
In many Medicare Local catchments, immunisation rates among Aboriginal and Torres Strait Islander children were considerably lower than they were for all children (Figure 5, page 12). The percentages of Aboriginal and Torres Strait Islander children fully immunised at: • 1 year of age ranged from 69% in BentleyArmadale (WA) to 94% in Gold Coast (Qld) (page 18)

1. 2.

The level of 90% of children fully immunised does not relate to any benchmarks and is used here for indicative purposes only. Results are not reported for Medicare Local catchments for any age group with less than 26 children registered with the ACIR.

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Lower-level reporting
The report also shows the percentages of all children fully immunised in more than 300 smaller local areas called Statistical Areas Level 3 (SA3s). There were 32 statistical areas where the percentages of all children fully immunised were 85% or lower for at least one age group. There were 77 statistical areas where the percentages of all children fully immunised were 95% or higher for at least one age group. There were 898,373 children aged 1, 2 or 5 years registered with the ACIR in 2011–12. Of these, the data suggests 76,769 are not fully immunised: • for children aged 1 year - 24,360 • for children aged 2 years - 22,334 • for children aged 5 years - 30,075. (pages 29 to 40). Results for Aboriginal and Torres Strait Islander children are not reported for statistical areas because the populations of Indigenous children in those areas are too small to support reliable estimates.

applied in this report and also include data on the revised definition of fully immunised, which includes additional vaccines on the National Immunisation Program Schedule. The Authority is aware of issues with measuring percentages of children fully immunised in some urban areas. Factors such as population mobility and large immigrant populations may make tracking childhood immunisation rates more difficult. A better understanding is also needed of the level of identification of children as Aboriginal and/or Torres Strait Islander in the Medicare enrolment data that is used in the ACIR, and the impact for reporting immunisation rates for these children. The Authority will consider ways to address these issues in the future.

What is the percentage of children who are fully immunised in your local area?
The National Health Performance Authority has released 2011–12 data for Medicare Local catchments, for more than 300 smaller geographic areas, and for more than 1500 postcodes, on the percentages of all children who are fully immunised at 1 year, 2 years and 5 years. For information about your local area, go to www.nhpa.gov.au

Numbers of children not fully immunised
Some Medicare Local catchments contained high numbers of children who were not fully immunised. There are Medicare Local catchments where more than 1000 children aged 1, 2 or 5 years are not fully immunised (page 6).

Next steps
The National Immunisation Program Schedule has been expanded since the data in this report were collected. Future Authority reports will include data against the definition of fully immunised

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Introduction
About this report
The Authority bases its performance reports on the 48 indicators agreed by the Council of Australian Governments (COAG). In this report, the Authority has focused on the indicator that relates to rates of childhood immunisation. While the percentages of children fully immunised are periodically reported at the state and national level, this report is different in that it provides this information at much smaller units of geography. This report states the percentages for all children, and for all Aboriginal and Torres Strait Islander children, who are fully immunised at three time points – 1 year, 2 years and 5 years – for each area served by the new network of Medicare Locals. There are 61 Medicare Locals across Australia, which were established in 2011 to improve the responsiveness, coordination and integration of local health services. This report provides some data for even smaller geographic areas, called Statistical Areas Level 3 (SA3s), which are used by the Australian Bureau of Statistics. Some data are also available at the level of individual postcodes at www.nhpa.gov.au The Authority has chosen to focus this report on childhood immunisation at this level of geographic detail in order to help clinicians and health managers better understand where more work needs to be done to increase the percentages of fully immunised children. Fully immunised means that a child has received a subset of vaccinations that are detailed in the National Immunisation Program Schedule for their age. Four vaccinations on that Schedule are excluded for the purposes of measuring fully immunised status. Fully immunised for age means a child received the most recent vaccination for each disease, and assumes all previous vaccinations were administered (Figure 1, page 2). It is important to note that these data relate to the period July 2011 to June 2012, while Medicare Locals were still being set up. Accordingly, the findings do not reflect on the performance of Medicare Locals as organisations.

Why immunisation matters
Routine childhood immunisations protect babies and children against potentially serious diseases such as measles, polio, tetanus and whooping cough (pertussis) (Glossary, page 41). Although the majority of children in Australia are immunised, it is important to maintain high immunisation rates. When high percentages of people are fully immunised, diseases such as whooping cough have less opportunity to spread because there are fewer people who can be infected. In addition, people who remain susceptible to infection – such as babies too young to be immunised and people with specific medical conditions that prevent them from being immunised – may be indirectly protected, as they are less likely to be exposed to disease. This concept is called “herd immunity” or “community immunity”.

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National Health Performance Authority

According to the World Health Organization (WHO), measles is a potentially serious and highly contagious disease (with a single infected person able to infect up to 17-20 other people).3 The WHO has advocated an immunisation rate of greater than 93–95% for all districts within a country to ensure measles elimination.4 The US Centers for Disease Control and Prevention considers whooping cough to be so infectious (with a single infected person able to infect up to 12-15 other people) that it is important everyone gets the recommended vaccine.5

Figure 1:   Vaccinations measured for fully immunised status
Measured for fully immunised at

Age due

Vaccinations Hepatitis B (hepB) Diphtheria, tetanus and whooping cough (DTPa) Haemophilus in uenzae type b (Hib) Polio (IPV)

2 months 4 months 6 months

Improving uptake
From 1 July 2012, Medicare Locals are responsible for ensuring high immunisation rates are maintained across their catchments.6 The National Partnership Agreement (NPA) on Essential Vaccines, established by Commonwealth, state and territory governments through COAG in 2009, set benchmarks for maintaining or improving the percentage of children fully immunised for: • all children at 4 years of age (measured at 5 years of age) • Aboriginal and Torres Strait Islander children at 1, 2 and 5 years of age • all children in areas of low immunisation.

Hepatitis B (hepB) Diphtheria, tetanus and whooping cough (DTPa) Haemophilus in uenzae type b (Hib) Polio (IPV) Hepatitis B (hepB) Diphtheria, tetanus and whooping cough (DTPa) Haemophilus in uenzae type b (Hib) Polio (IPV) Haemophilus in uenzae type b (Hib) Measles, mumps and rubella (MMR)

1 year

12 months

2 years

Diphtheria, tetanus and whooping cough (DTPa) Polio (IPV) Measles, mumps and rubella (MMR)

4 years

5 years

Note:

For the purposes of reporting the data, fully immunised means a child receives the vaccinations due at or immediately prior to the age at which the measurement occurs. It is assumed that all previous vaccinations were received.

3.  World Health Organization, WHO guidelines for epidemic preparedness and response to measles outbreaks, WHO, Geneva, May 1999. 4. World Health Organization, Measles vaccines: WHO position paper, Weekly epidemiological record, No 35, 84, 349–360, WHO, Geneva, 2009. 5.  Centers for Disease Control and Prevention (2013), Pertussis frequently asked questions (factsheet), [Online] Available at: www.cdc.gov/pertussis/ about/faqs.html Accessed 26 March 2013. 6.  Medicare Local Key Reporting Areas for 2012–13. Key Reporting Area 2: Maintain or improve immunisation coverage rates for children.

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The Commonwealth government pays for the purchase of all essential vaccines and provides payments to the states and territories and general practices that are linked to achieving high rates of immunisation and notification to the ACIR.

Australian Childhood Immunisation Register
The Australian Childhood Immunisation Register (ACIR) is a national register that records immunisations given to children up to the age of 7 years. The ACIR helps parents and guardians keep track of children’s immunisations. It also enables governments and health managers to monitor immunisation coverage in Australia. The ACIR provides immunisation history statements that can be used as proof of immunisation status for childcare and school enrolments. Children who are not immunised are subject to exclusion from childcare and school when disease outbreaks occur.

About the data
Data for this report, Healthy Communities: Immunisation rates for children in 2011–12, were sourced from the Australian Childhood Immunisation Register (ACIR) which is administered by the Australian Government Department of Human Services (Medicare). It has been estimated that ACIR includes close to 99% of Australian children.7 The report includes data on both the percentages of children fully immunised and the numbers of children not fully immunised. All data from the ACIR are mapped to Medicare Local catchment areas in which children live (i.e. by the postcode for their address), rather than the areas in which the services are provided. For more information, see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement at www.nhpa.gov.au

Lower-level data
Information on the percentages of children fully immunised is available for local communities across Australia at www.nhpa.gov.au The purpose of providing local information is to help clinicians and health managers to target their efforts to protect the health of children and the broader community. Note that where the number of children for an area is very small, data has been withheld to preserve confidentiality.

7.  Hull BP, Shelley LD, McIntyre PB. The Australian Childhood Immunisation Register - A model for universal immunisation registers? Vaccine 2009; 27: 5054–5060.

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Child immunisation rates
Key findings 2011–12

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Key findings: All children
Percentages fully immunised: Variation by Medicare Local catchment
There was considerable variation between Medicare Local catchments in terms of the percentages of all children fully immunised across all three age groups.

Percentages fully immunised: Variation by age
Immunisation rates were highest at 2 years of age. Out of the three age groups, percentages of children fully immunised at 2 years of age were highest (or equal highest) for all but seven of the 61 Medicare Local catchments. Rates were lowest at 5 years of age. Percentages of children fully immunised at 5 years were lowest (or equal lowest) of the three age groups for all but four of the 61 Medicare Local catchments (Figure 3, page 10). For children aged 1 year, two Medicare Local catchments recorded percentages fully immunised of less than 90%, while three catchments had less than 90% for children aged 2 years. For children aged 5 years, 23 Medicare Local catchments had less than 90% of children fully immunised.8

Percentages of 1 year olds fully immunised, by Medicare Local catchment
The percentage of children aged 1 year fully immunised ranged from: Highest 94% – Great South Coast (Vic), Hume (Vic), Barwon (Vic), Murrumbidgee (NSW), Grampians (Vic), Goulburn Valley (Vic), Australian Capital Territory Lowest 85% – Far West NSW (pages 15 and 16).

Percentages of 2 year olds fully immunised, by Medicare Local catchment
The percentage of children aged 2 years fully immunised ranged from: Highest 96% – Great South Coast (Vic) Lowest 89% – North Coast NSW, Eastern Sydney, Sunshine Coast (Qld) (pages 19 and 20).

Numbers of children not fully immunised
In a Medicare Local catchment with a large population, a high percentage of children who are fully immunised can conceal a high number of children who are not fully immunised (Figure 2, page 9). In four Medicare Local catchments, there were more than 1000 children who were not fully immunised in one or more age groups. One Medicare Local catchment (Western Sydney) had

Percentages of 5 year olds fully immunised, by Medicare Local catchment
The percentage of all children aged 5 years fully immunised ranged from: Highest 95% – Great South Coast (Vic) Lowest 84% – Eastern Sydney (pages 23 and 24).

8.

The level of 90% of children fully immunised does not relate to any benchmarks and is used here for indicative purposes only.

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nearly 3600 children who were not fully immunised across the three age groups combined (pages 16, 20 and 24). The largest single group of children not fully immunised in one Medicare Local catchment was 1287 (recorded in Western Sydney for 5 year olds).

Lower-level reporting
Where possible, the percentages of children fully immunised have been broken down by smaller local areas called Statistical Areas Level 3 (SA3) which are used by the Australian Bureau of Statistics. There are 333 statistical areas covering the whole of Australia without gaps or overlaps. There were 32 statistical areas where the percentages of all children fully immunised were 85% or lower for at least one age group: • for children 1 year of age - 4 statistical areas • for children 2 years of age - 4 • for children 5 years of age - 30. There were 77 statistical areas where the percentages of all children fully immunised were 95% or higher for at least one age group: • for children 1 year of age - 23 statistical areas • for children 2 years of age - 72 • for children 5 years of age - 3 (pages 29 to 40). Results for Aboriginal and Torres Strait Islander children are not reported for statistical areas because the populations of these children in most of statistical areas are too small to support reliable estimates. Local-level data are available at www.nhpa.gov.au

Numbers of 1 year olds not fully immunised, by Medicare Local catchment
The number of all children aged 1 year not fully immunised ranged from more than 1100, recorded in Western Sydney, Greater Metro South Brisbane and South Western Sydney, to fewer than 80 recorded in Far West NSW, Central and Northern Queensland and Great South Coast (Vic) (page 16).

Numbers of 2 year olds not fully immunised, by Medicare Local catchment
The number of all children aged 2 years not fully immunised ranged from almost 1100, recorded in Western Sydney, to fewer than 80, recorded in Lower Murray (Vic), Great South Coast (Vic), Central and North West Queensland, and Far West NSW (page 20).

Numbers of 5 year olds not fully immunised, by Medicare Local catchment
The number of all children aged 5 years not fully immunised ranged from more than 1200, recorded in Western Sydney, South Western Sydney and Greater Metro South Brisbane to fewer than 80 recorded in Greater South Coast (Vic), Far West NSW, and Central and North West Queensland (page 24).

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Key findings: Aboriginal and Torres Strait Islander children
The data presented here reflect results for those children who were identified as Aboriginal and Torres Strait Islander in the Australian Childhood Immunisation Register (ACIR) during 2011–12. The ACIR data are based on Medicare enrolment records and levels of identification may vary between Medicare Local catchments.

Percentages of 5 year olds fully immunised, by Medicare Local catchment
The percentage of Aboriginal and Torres Strait Islander children aged 5 years fully immunised ranged from: Highest 95% – Central and North West Queensland Lowest 70% – Perth North Metro (pages 25 and 26).

Percentages fully immunised: Variation by Medicare Local catchment
There was considerable variation between Medicare Local catchments in terms of the percentages of Aboriginal and Torres Strait Islander children fully immunised across all three age groups.

Percentages fully immunised: Variation by age
Immunisation rates were highest at 2 years of age. Out of the three age groups, percentages of Aboriginal and Torres Strait Islander children fully immunised at 2 years of age were highest (or equal highest) for all but seven of the 56 Medicare Local catchments reported (Figure 5, page 12).9 Rates were lowest for children at 1 year of age. Percentages of Aboriginal and Torres Strait Islander children fully immunised at 1 year were lowest (or equal lowest) of the three age groups for 35 of the 56 Medicare Local catchments reported. The percentages fully immunised for Aboriginal and Torres Strait Islander children aged 1 year and 5 years were also much lower than the 2 year age group. For Aboriginal and Torres Strait Islander children aged 2 years, 16 Medicare Local catchments recorded percentages fully immunised of less than 90%.10

Percentages of 1 year olds fully immunised, by Medicare Local catchment
The percentage of Aboriginal and Torres Strait Islander children aged 1 fully immunised ranged from: Highest 94% – Gold Coast (Qld) Lowest 69% – Bentley-Armadale (WA) (pages 17 and 18).

Percentages of 2 year olds fully immunised, by Medicare Local catchment
The percentage of Aboriginal and Torres Strait Islander children aged 2 fully immunised ranged from: Highest 97% – Northern Territory and Gold Coast (Qld) Lowest 80% – Central Adelaide and Hills (pages 21 and 22).

9. 10.

Results are not reported for Medicare Local catchments for any age group with less than 26 children registered with the ACIR. The level of 90% of children fully immunised does not relate to any benchmarks and is used here for indicative purposes only.

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But for children aged 1 year, there were 46 Medicare Local catchments with percentages below 90%, and 35 catchments had less than 90% for children aged 5 years. There were also eight Medicare Local catchments with percentages below 80% for children aged 1 year, and nine catchments with results below 80% for children aged 5 years.

Numbers of 5 year olds not fully immunised, by Medicare Local catchment
The number of Aboriginal and Torres Strait Islander children aged 5 years not fully immunised ranged from 110 to 5 or fewer (page 26).

Numbers of children not fully immunised
There were three Medicare Local catchments that recorded more than 100 Aboriginal and Torres Strait Islander children aged 1 year who were not fully immunised (Figure 4, page 11). At 148, the largest single group of Aboriginal and Torres Strait Islander children not fully immunised was recorded for 1 year olds. Next were 5 year olds, with 110 in the largest group of children not fully immunised. The largest group of 2 year olds not fully immunised was 63 (pages 18, 22 and 26).

Comparison between percentages of Aboriginal and Torres Strait Islander children fully immunised and all children
The highest percentages recorded for Aboriginal and Torres Strait Islander children in Medicare Local catchments exceeded or equalled those recorded for all children. However, the lowest percentages recorded for Aboriginal and Torres Strait Islander children were substantially lower than those recorded for all children (pages 18, 22 and 26). The lowest percentage of fully immunised Aboriginal and Torres Strait Islander children recorded for 1 year olds was 69%, compared with 85% for all children – a variation of 16 percentage points (pages 16 and 18). The lowest percentage of fully immunised Aboriginal and Torres Strait Islander children recorded for 5 year olds was 70%, compared with 84% for all children – a variation of 14 percentage points (pages 24 and 26). At 80%, the lowest percentage of fully immunised Aboriginal and Torres Strait Islander children recorded for 2 year olds was closest to that recorded for all children, which was 89%. The variation was 9 percentage points (pages 20 and 22).

Numbers of 1 year olds not fully immunised, by Medicare Local catchment
The number of Aboriginal and Torres Strait Islander children aged 1 year not fully immunised ranged from 148 to 5 or fewer (page 18).

Numbers of 2 year olds not fully immunised, by Medicare Local catchment
The number of Aboriginal and Torres Strait Islander children aged 2 years not fully immunised ranged from 63 to 5 or fewer (page 22).

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Children fully immunised: Medicare Local catchment snapshot
It is important to look at the percentages of children who were fully immunised in conjunction with the numbers of children who were not fully immunised. (For the numbers of children aged 1, 2 and 5 not fully immunised see pages 16, 20 and 24.) A Medicare Local catchment with a large population can have a high percentage of children that are fully immunised and a high number of children who are not fully immunised. Figure 2 shows the percentages of children that were fully immunised and the numbers of children not fully immunised at 1 year, 2 years and 5 years. Each dot represents a Medicare Local catchment. The size of each dot is scaled to represent the number of children in each Medicare Local catchment that were not fully immunised. The figure shows that there were Medicare Local catchments with 93% of children who were fully immunised that still contain groups of more than 600 children who were not fully immunised. The largest single group of children who were not fully immunised was recorded for 5 year olds (1287 children). Figure 3 on the opposite page compares the percentages of children fully immunised for 1 year olds, 2 year olds and 5 year olds by Medicare Local catchment. The figure shows that the percentage of children who were fully immunised at 2 years generally exceeded that recorded for 1 year olds. In most cases, the percentage recorded for 5 year olds was the lowest.
Figure 2: Percentages of all children1 in each of 61 Medicare Local catchments that are fully immunised by age and number not fully immunised, 2011–12
Percentage fully immunised 95 to 100% 90 up to 95% 85 up to 90% 80 up to 85% 75 up to 80%
∙∙∙ 93 up to 95% ∙∙∙ 90 up to 93%

Number not fully immunised 50 100 250 500 1000 1250

Children aged 1 year
96% 94% 92% 90% 88% 86% 84%
Each dot represents one Medicare Local catchment

Children aged 2 years
96% 94% 92% 90% 88% 86% 84%
Each dot represents one Medicare Local catchment

Children aged 5 years
96% 94% 92% 90% 88% 86% 84%
Each dot represents one Medicare Local catchment

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Figure 3:   Percentages of all children1 in each of 61 Medicare Local catchments that are fully immunised by age, 2011–12 Medicare Local catchments
Fully immunised at age
Great South Coast (Vic).......................... Hume (Vic/NSW).................................... Barwon (Vic).......................................... Murrumbidgee (NSW)............................ Grampians (Vic)..................................... Goulburn Valley (Vic).............................. Australian Capital Territory...................... Gippsland (Vic)....................................... New England (NSW).............................. Western NSW........................................ Country North SA.................................. Hunter (NSW)........................................ Bayside (Vic).......................................... Sthn Adelaide-Fleurieu-Kangaroo Is....... Townsville-Mackay (Qld)......................... Country South SA.................................. Metro North Brisbane............................. Frankston-Mornington Peninsula (Vic).... Inner East Melbourne............................. Northern Adelaide.................................. Tasmania............................................... Northern Melbourne............................... South Western Melbourne..................... South Eastern Sydney........................... Wide Bay (Qld)....................................... Macedon Ranges & NW Melb................ Illawarra-Shoalhaven (NSW)................... South Eastern Melbourne...................... Nepean-Blue Mountains (NSW).............. Eastern Melbourne................................. Loddon-Mallee-Murray (Vic/NSW).......... Central Qld............................................ Kimberley-Pilbara (WA)........................... Southern NSW....................................... Darling Downs-SW Qld.......................... Central Coast NSW................................ Northern Territory................................... West Moreton-Oxley (Qld)...................... Inner West Sydney................................. South Western Sydney.......................... Northern Sydney.................................... Inner NW Melbourne.............................. Sydney North Shore & Beaches............. Gold Coast (Qld).................................... Central & NW Qld.................................. Western Sydney.................................... Greater Metro South Brisbane................ Central Adelaide & Hills.......................... Perth North Metro.................................. Lower Murray (Vic/NSW)........................ Perth South Coastal............................... South West WA..................................... Goldfields-Midwest (WA)........................ Far North Qld......................................... Bentley-Armadale (WA).......................... Perth Central & East Metro..................... Fremantle (WA)...................................... Eastern Sydney..................................... Sunshine Coast (Qld)............................. North Coast NSW.................................. Far West NSW.......................................

1yr 2yrs 5yrs
94% 94% 94% 94% 94% 94% 94% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 90% 90% 90% 90% 90% 90% 90% 90% 88% 85% 96% 95% 95% 95% 94% 93% 94% 94% 94% 95% 95% 94% 93% 92% 95% 95% 93% 93% 92% 93% 94% 93% 93% 92% 94% 93% 94% 93% 94% 93% 94% 94% 93% 93% 94% 94% 94% 93% 91% 93% 92% 93% 90% 91% 95% 92% 93% 91% 91% 92% 91% 92% 92% 94% 90% 90% 90% 89% 89% 89% 94% 95% 93% 92% 92% 93% 91% 92% 93% 92% 91% 91% 93% 92% 87% 92% 89% 91% 91% 91% 88% 91% 91% 91% 92% 92% 91% 92% 91% 90% 91% 92% 90% 86% 89% 92% 92% 89% 91% 88% 91% 89% 90% 87% 89% 92% 90% 90% 86% 87% 87% 87% 89% 89% 91% 86% 86% 87% 84% 87% 86% 88%

70%

75%

80%

85%

90%

95%

Definitions of fully immunised at: 1 year
Fully immunised at 1 year means that a child aged 12 months to less than 15 months received their third vaccination for diphtheria, tetanus, whooping cough and polio and either their second or third vaccination (dependent on the type of vaccine used) for hepatitis B and Haemophilus influenzae type b, all prior to the age of 1 year. It is assumed that all previous vaccinations were received.

2 years
Fully immunised at 2 years means that a child aged 24 to less than 27 months received their third or fourth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus, whooping cough and Haemophilus influenzae type b, their third vaccination for polio and hepatitis B and their first vaccination for measles, mumps and rubella, all prior to the age of 2 years. It is assumed that all previous vaccinations were received.

5 years
Fully immunised at 5 years means that a child aged 60 to less than 63 months received their fourth or fifth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus and whooping cough, their fourth vaccination for polio and their second vaccination for measles mumps and rubella, all prior to the age of 5 years. It is assumed that all previous vaccinations were received.

Statistical Areadata Level 3 and Postcode-level available postcode-level data available at www.nhpa.gov.au at www.nhpa.gov.au

1. Data are reported as whole numbers. However, for graphical display they are plotted by 2 decimal places. Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

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Aboriginal and Torres Strait Islander children fully immunised: Medicare Local catchment snapshot
Figure 4 shows the percentages of Aboriginal and Torres Strait Islander children that were fully immunised and the numbers of children not fully immunised at 1 year, 2 years and 5 years. Each dot represents a Medicare Local catchment. The size of each dot is scaled to represent the number of children in each Medicare Local catchment that were not fully immunised. There were large variations in the percentages of Aboriginal and Torres Strait Islander children who were fully immunised in all three age groups. The largest variation was recorded for 1 year olds and 5 year olds. The percentages of children aged 1 who were fully immunised ranged from 94% to 69%, and for children aged 5, the percentages ranged from 95% to 70%. The percentages of children aged 2 years who were fully immunised ranged from 97% to 80%. Figure 5 on the opposite page compares the percentages of Aboriginal and Torres Strait Islander children fully immunised for 1 year olds, 2 year olds and 5 year olds by Medicare Local catchment. The figure shows that the percentages of children who were fully immunised at 2 years almost always exceeded that recorded for 1 year olds. The percentages recorded for 5 year olds was almost always lower than that for 2 year olds.

Figure 4: Percentages of Aboriginal and Torres Strait Islander children1 in each of 61 Medicare Local catchments that are fully immunised by age and number not fully immunised, 2011–12
Percentage fully immunised 95 to 100% 90 up to 95% 85 up to 90% 80 up to 85% 75 up to 80% 70 up to 75% 65 up to 70% Number not fully immunised ≤5 25 50 75 100 150 Interpret with caution, population between 26 and 100 children
∙∙∙ 93 up to 95% ∙∙∙ 90 up to 93%

Aboriginal and Torres Strait Islander children aged 1 year

Aboriginal and Torres Strait Islander children aged 2 years

Aboriginal and Torres Strait Islander children aged 5 years

96% 94% 92% 90% 88% 86% 84% 82% 80% 78% 76% 74% 72% 70%
Each dot represents one Medicare Local catchment

96% 94% 92% 90% 88% 86% 84% 82% 80% 78% 76% 74% 72% 70%
Each dot represents one Medicare Local catchment

96% 94% 92% 90% 88% 86% 84% 82% 80% 78% 76% 74% 72% 70%
Each dot represents one Medicare Local catchment

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Figure 5:   Percentages of Aboriginal and Torres Strait Islander children1 in each of 61 Medicare Local catchments that are fully immunised by age, 2011–12 Medicare Local catchments
Fully immunised at age
South Eastern Sydney........................... Gold Coast (Qld).................................... Tasmania............................................... South Eastern Melbourne...................... Central Coast NSW................................ Hume (Vic/NSW).................................... Northern Territory................................... Illawarra-Shoalhaven (NSW)................... Hunter (NSW)........................................ Murrumbidgee (NSW)............................ Eastern Sydney..................................... Sthn Adelaide-Fleurieu-Kangaroo Is....... Inner NW Melbourne.............................. Kimberley-Pilbara (WA)........................... Metro North Brisbane............................. Far North Qld......................................... Southern NSW....................................... Grampians (Vic)..................................... Great South Coast (Vic).......................... South Western Sydney.......................... New England (NSW).............................. Central & NW Qld.................................. Wide Bay (Qld)....................................... Greater Metro South Brisbane................ Barwon (Vic).......................................... North Coast NSW.................................. Nepean-Blue Mountains (NSW).............. Macedon Ranges & NW Melb................ Western NSW........................................ Sunshine Coast (Qld)............................. West Moreton-Oxley (Qld)...................... Gippsland (Vic)....................................... Central Qld............................................ Northern Melbourne............................... South West WA..................................... Country South SA.................................. Fremantle (WA)...................................... Loddon-Mallee-Murray (Vic/NSW).......... Inner West Sydney................................. Perth South Coastal............................... Australian Capital Territory...................... Country North SA.................................. Townsville-Mackay (Qld)......................... Darling Downs-SW Qld.......................... Goulburn Valley (Vic).............................. Goldfields-Midwest (WA)........................ Western Sydney.................................... Perth North Metro.................................. Northern Adelaide.................................. Lower Murray (Vic/NSW)........................ Central Adelaide & Hills.......................... Far West NSW....................................... Perth Central & East Metro..................... Bentley-Armadale (WA).......................... Bayside (Vic).......................................... Eastern Melbourne................................. Frankston-Mornington Peninsula (Vic).... Inner East Melbourne............................. Northern Sydney.................................... South Western Melbourne..................... Sydney North Shore & Beaches............. 1. Note:

1yr 2yrs 5yrs
95% # 94% 93% 92% # 92% 91% 90% 90% 89% 89% 89% # 89% # 88% # 88% 88% 88% 88% 88% # 87% # 87% 87% 87% 87% 87% 86% # 86% 85% 85% 85% 85% 85% 85% # 84% 83% # 83% 83% # 82% # 82% # 82% # 82% # 82% 81% 81% 81% 81% # 80% 79% 76% 75% 75% 74% 73% 72% 69% NP NP NP NP NP NP NP 94% # 97% 95% 89% # 96% 93% # 97% 93% 93% 92% 94% # 91% # 93% # 93% 95% 95% 85% 93% # 93% # 91% 92% 94% 91% 91% 94% # 92% 93% 82% 94% 89% 94% 94% # 91% 88% # 88% 93% # 85% # 94% # 88% 85% 91% 91% 91% 92% 90% # 92% 86% 89% 84% 88% # 80% 90% 83% 86% NP NP 92% # NP NP 90% # NP 93% # 94% 92% 85% # 92% 91% # 92% 90% 92% 83% # 83% # 75% NP 84% 88% 91% 76% 90% # 86% # 90% 86% 95% 86% 89% 95% # 86% 88% 84% 83% 91% 90% 87% # 83% 91% # 87% 80% # 76% # 90% # 85% # 80% 90% # 83% 87% 91% 86% # 87% 88% 70% 78% 82% # 76% # 84% 74% 71% NP 76% # 92% # NP NP NP NP

70%

75%

80%

85%

90%

95%

Definitions of fully immunised at: 1 year
Fully immunised at 1 year means that a child aged 12 months to less than 15 months received their third vaccination for diphtheria, tetanus, whooping cough and polio and either their second or third vaccination (dependent on the type of vaccine used) for hepatitis B and Haemophilus influenzae type b, all prior to the age of 1 year. It is assumed that all previous vaccinations were received.

2 years
Fully immunised at 2 years means that a child aged 24 to less than 27 months received their third or fourth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus, whooping cough and Haemophilus influenzae type b, their third vaccination for polio and hepatitis B and their first vaccination for measles, mumps and rubella, all prior to the age of 2 years. It is assumed that all previous vaccinations were received.

5 years
Fully immunised at 5 years means that a child aged 60 to less than 63 months received their fourth or fifth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus and whooping cough, their fourth vaccination for polio and their second vaccination for measles mumps and rubella, all prior to the age of 5 years. It is assumed that all previous vaccinations were received.

# 

nterpret with caution: the I eligible population is between 26 and 100 children, so small data errors can affect results. registered children in age group.

NP Not published as less than 26

Data are reported as whole numbers. However, for graphical display they are plotted by 2 decimal places. Interpret with caution: the eligible population is between 26 and 100 Aboriginal or Torres Strait Islander children, so small data errors can affect  results. Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/1/2013.

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12

Child immunisation rates
Medicare Local catchments 2011–12

14

Children aged 1 year who were fully immunised, 2011–12
Percentages of children aged 1 year fully immunised, by Medicare Local catchment, 2011–12
Fully immunised at 1 year means that a child aged 12 months to less than 15 months received their third vaccination for diphtheria, tetanus, whooping cough and polio, and either their second or third vaccination (dependent on the type of vaccine used) for hepatitis B and Haemophilus influenzae type b1, all prior to the age of 1 year. It is assumed that all previous vaccinations were received.

311

701 508 310

vi.
Highest group

95 to 100%
93 up to 95% 90 up to 93%

309

308 307 306

85 up to 90% 80 up to 85%
Lowest group

507 405 506 213 404 214 211 215 116 216 217 114 118 115 111 113

75 up to 80%

v. iv.
117

i. ii.

212

iii.

Medicare Local boundary

405

Numbers on maps are Medicare Local catchment codes on the opposite page

601

i. Greater Perth

ii. Greater Adelaide
405

iii. Greater Melbourne
214 216 215 211 204 205 201 207

iv. ACT

502 501 503

401

504 506

402

801 117

404

203 210

206 202 208 209

505

403

217

1.  For more details on the diseases and immunisations see Immunise Australia Program. Diseases and Programs A - Z. www.immunise.health.gov.au Accessed 26/02/2013. 2. Results are reported as whole numbers. However, for graphical display they are plotted by 2 decimal places. Note:  Data exclude a number of invalid and unallocated postcodes – for more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

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Children fully immunised

Aged aged 1 year

vi. Greater Brisbane
307

Percentages of children aged 1 year fully immunised2, by Medicare Local catchment, 2011–12
Map Ref. 212 216 210 116 211 215 801 217 114 115 405 111 202 403 310 404 301 209 206 401 601 205 203 103 307 204 110 208 106 207 214 308 508 117 306 109 701 305 102 104 107 201 108 303 309 105 302 402 502 213 505 506 507 311 504 501 503 101 304 113 118

Medicare Local catchments
92%
94% 94% 94% 94% 94% 94% 94% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 90% 90% 90% 90% 90% 90% 90% 90% 88% 85%
70% 80% 90% 100%

Number not fully immunised

National fully immunised rate
304

1 year

301 306 305 302

303

113

v. Greater Sydney

111

109 106

107 105 108

102

101

104

103

110

Statistical Area Level 3 and Postcode-level data available postcode-level data available at at www.nhpa.gov.au www.nhpa.gov.au

Great South Coast (Vic).......................... Hume (Vic/NSW).................................... Barwon (Vic).......................................... Murrumbidgee (NSW)............................ Grampians (Vic)..................................... Goulburn Valley (Vic).............................. Australian Capital Territory...................... Gippsland (Vic)....................................... New England (NSW).............................. Western NSW........................................ Country North SA.................................. Hunter (NSW)........................................ Bayside (Vic).......................................... Sthn Adelaide-Fleurieu-Kangaroo Is....... Townsville-Mackay (Qld)......................... Country South SA.................................. Metro North Brisbane............................. Frankston-Mornington Peninsula (Vic).... Inner East Melbourne............................. Northern Adelaide.................................. Tasmania............................................... Northern Melbourne............................... South Western Melbourne..................... South Eastern Sydney........................... Wide Bay (Qld)....................................... Macedon Ranges & NW Melb................ Illawarra-Shoalhaven (NSW)................... South Eastern Melbourne...................... Nepean-Blue Mountains (NSW).............. Eastern Melbourne................................. Loddon-Mallee-Murray (Vic/NSW).......... Central Qld............................................ Kimberley-Pilbara (WA)........................... Southern NSW....................................... Darling Downs-SW Qld.......................... Central Coast NSW................................ Northern Territory................................... West Moreton-Oxley (Qld)...................... Inner West Sydney................................. South Western Sydney.......................... Northern Sydney.................................... Inner NW Melbourne.............................. Sydney North Shore & Beaches............. Gold Coast (Qld).................................... Central & NW Qld.................................. Western Sydney.................................... Greater Metro South Brisbane................ Central Adelaide & Hills.......................... Perth North Metro.................................. Lower Murray (Vic/NSW)........................ Perth South Coastal............................... South West WA..................................... Goldfields-Midwest (WA)........................ Far North Qld......................................... Bentley-Armadale (WA).......................... Perth Central & East Metro..................... Fremantle (WA)...................................... Eastern Sydney..................................... Sunshine Coast (Qld)............................. North Coast NSW.................................. Far West NSW.......................................

69 135 199 151 157 118 326 208 170 249 164 598 491 333 430 113 846 254 466 413 461 664 351 479 173 542 341 563 382 404 214 253 128 178 346 330 305 478 692 1144 385 445 540 576 70 1200 1150 478 642 80 318 365 182 408 552 533 289 462 425 685 79

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Aboriginal and Torres Strait Islander children aged 1 year who were fully immunised, 2011–12
Percentages of Aboriginal and Torres Strait Islander children aged 1 year fully immunised, by Medicare Local catchment, 2011–12
Fully immunised at 1 year means that a child aged 12 months to less than 15 months received their third vaccination for diphtheria, tetanus, whooping cough and polio, and either their second or third vaccination (dependent on the type of vaccine used) for hepatitis B and Haemophilus influenzae type b1, all prior to the age of 1 year. It is assumed that all previous vaccinations were received.
Highest group

311

701 508 310

95 to 100%
93 up to 95% 90 up to 93%
309 308 307 306 507 405 506 213 404 214 211 215 116 216 217 114 118 115 111

vi.

85 up to 90% 80 up to 85% 75 up to 80% 70 up to 75%
Lowest group

113

65 up to 70% Not published3
i. ii.
601

v. iv.
117

212

Medicare Local boundary

Numbers on maps are Medicare Local catchment codes on the opposite page Interpret with caution4

iii.

601

i. Greater Perth

ii. Greater Adelaide
405

iii. Greater Melbourne
214 216 215 211 204 205 201 207

iv. ACT

502 501 503

401

504 506

402

801 117

404

203 210

206 202 208 209

505

403

217

1.  For more details on the diseases and immunisations see Immunise Australia Program. Diseases and Programs A - Z. www.immunise.health.gov.au Accessed 26/02/2013. 2. Results are reported as whole numbers. However, for graphical display they are plotted by 2 decimal places. 3.  Medicare Local catchments with less than 26 registered children in the age group are not reported. For more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 4. Interpret with caution as the eligible population is between 26 and 100 children so small data errors can affect results.  Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

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Aboriginal and Torres Strait Islander children fully immunised

Aged aged 1 year

vi. Greater Brisbane
307

Percentage of Aboriginal and Torres Strait Islander children aged 1 year fully immunised2, by Medicare Local catchment, 2011–12
Map Ref. 103 303 601 208 109 216 701 110 111 116 101 403 201 508 301 311 117 211 212 104 114 309 307 302 210 113 106 204 115 304 305 217 308 205 506 404 503 214 102 505 801 405 310 306 215 507 105 502 401 213 402 118 501 504 202 207 209 206 107 203 108

Medicare Local catchments
85%
South Eastern Sydney........................... Gold Coast (Qld).................................... Tasmania............................................... South Eastern Melbourne...................... Central Coast NSW................................ Hume (Vic/NSW).................................... Northern Territory................................... Illawarra-Shoalhaven (NSW)................... Hunter (NSW)........................................ Murrumbidgee (NSW)............................ Eastern Sydney..................................... Sthn Adelaide-Fleurieu-Kangaroo Is....... Inner NW Melbourne.............................. Kimberley-Pilbara (WA)........................... Metro North Brisbane............................. Far North Qld......................................... Southern NSW....................................... Grampians (Vic)..................................... Great South Coast (Vic).......................... South Western Sydney.......................... New England (NSW).............................. Central & NW Qld.................................. Wide Bay (Qld)....................................... Greater Metro South Brisbane................ Barwon (Vic).......................................... North Coast NSW.................................. Nepean-Blue Mountains (NSW).............. Macedon Ranges & NW Melb................ Western NSW........................................ Sunshine Coast (Qld)............................. West Moreton-Oxley (Qld)...................... Gippsland (Vic)....................................... Central Qld............................................ Northern Melbourne............................... South West WA..................................... Country South SA.................................. Fremantle (WA)...................................... Loddon-Mallee-Murray (Vic/NSW).......... Inner West Sydney................................. Perth South Coastal............................... Australian Capital Territory...................... Country North SA.................................. Townsville-Mackay (Qld)......................... Darling Downs-SW Qld.......................... Goulburn Valley (Vic).............................. Goldfields-Midwest (WA)........................ Western Sydney.................................... Perth North Metro.................................. Northern Adelaide.................................. Lower Murray (Vic/NSW)........................ Central Adelaide & Hills.......................... Far West NSW....................................... Perth Central & East Metro..................... Bentley-Armadale (WA).......................... Bayside (Vic).......................................... Eastern Melbourne................................. Frankston-Mornington Peninsula (Vic).... Inner East Melbourne............................. Northern Sydney.................................... South Western Melbourne..................... Sydney North Shore & Beaches.............

Aboriginal and Torres Strait Islander children 70% 80%

All children 90% 100%

Number not fully immunised

National fully immunised rate
304

1 year

301 306 305 302

303

113

v. Greater Sydney

111

109 106

107 105 108

102

101

104

103

110

95% 4 94% 93% 92% 4 92% 91% 90% 90% 89% 89% 89% 4 89% 4 88% 4 88% 88% 88% 88% 88% 4 87% 4 87% 87% 87% 87% 87% 86% 4 86% 85% 85% 4 85% 85% 85% 85% 4 84% 83% 4 83% 83% 4 82% 4 82% 4 82% 4 82% 4 82% 81% 81% 81% 81% 4 80% 79% 76% 75% 75% 74% 73% 72% 69% NP 3 NP 3 NP 3 NP 3 NP 3 NP 3 NP 3

≤5 7 27 ≤5 16 9 145 28 59 23 ≤5 10 ≤5 72 40 148 16 7 ≤5 33 57 40 25 57 ≤5 84 25 6 81 22 42 14 59 16 42 13 12 16 14 16 21 48 129 93 16 72 42 34 53 26 29 44 40 74

Notes:  Data exclude a number of invalid and unallocated postcodes – for more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au This data reflects the results for children identified as Aboriginal and Torres Strait Islander in the ACIR in 2011–12. Levels of identification may vary between Medicare Local catchments.

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Children aged 2 years who were fully immunised, 2011–12
Percentages of children aged 2 years fully immunised, by Medicare Local catchment, 2011–12
Fully immunised at 2 years means that a child aged 24 to less than 27 months received their third or fourth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus, whooping cough and Haemophilus influenzae type b, their third vaccination for polio and hepatitis B and their first vaccination for measles, mumps and rubella1, all prior to the age of 2 years. It is assumed that all previous vaccinations were received.
Highest group

311

701 508 310

vi.

95 to 100%
93 up to 95% 90 up to 93%

309

308 307 306

85 up to 90% 80 up to 85%
Lowest group

507 405 506 213 404 214 211 215 116 216 217 114 118 115 111 113

75 up to 80%

v. iv.
117

i. ii.

212

iii.

Medicare Local boundary

508

Numbers on maps are Medicare Local catchment codes on the opposite page

601

i. Greater Perth

ii. Greater Adelaide
405

iii. Greater Melbourne
214 216 215 211 204 205 201 207

iv. ACT

502 501 503

401

504 506

402

801 117

404

203 210

206 202 208 209

505

403

217

1.  For more details on the diseases and immunisations see Immunise Australia Program. Diseases and Programs A - Z. www.immunise.health.gov.au Accessed 26/02/2013. 2. Results are reported as whole numbers. However, for graphical display they are plotted by 2 decimal places. Note: Data exclude a number of invalid and unallocated postcodes – for more information see Healthy Communities: Immunisation rates for children in  2011–12, Technical Supplement www.nhpa.gov.au Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

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Children fully immunised

Aged 2 years

vi. Greater Brisbane
307

Percentages of children aged 2 years fully immunised2, by Medicare Local catchment, 2011–12
Map Ref. 212 115 405 216 309 404 116 310 210 701 214 114 111 211 217 109 307 801 106 601 308 311 118 306 110 205 208 117 209 401 508 301 215 203 104 204 207 201 305 202 302 206 213 107 507 403 103 105 506 303 505 102 502 402 504 503 501 108 304 101 113

Medicare Local catchments
93%
96% 95% 95% 95% 95% 95% 95% 95% 95% 94% 94% 94% 94% 94% 94% 94% 94% 94% 94% 94% 94% 94% 94% 94% 94% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 93% 92% 92% 92% 92% 92% 92% 92% 92% 91% 91% 91% 91% 91% 90% 90% 90% 90% 89% 89% 89%
70% 80% 90% 100%

Number not fully immunised

National fully immunised rate
304

2 years

301 306 305 302

303

113

v. Greater Sydney

111

109 106

107 105 108

102

101

104

103

110

Statistical Area Level 3 and Postcode-level data available postcode-level data available at at www.nhpa.gov.au www.nhpa.gov.au

Great South Coast (Vic).......................... Western NSW........................................ Country North SA.................................. Hume (Vic/NSW).................................... Central & NW Qld.................................. Country South SA.................................. Murrumbidgee (NSW)............................ Townsville-Mackay (Qld)......................... Barwon (Vic).......................................... Northern Territory................................... Loddon-Mallee-Murray (Vic/NSW).......... New England (NSW).............................. Hunter (NSW)........................................ Grampians (Vic)..................................... Gippsland (Vic)....................................... Central Coast NSW................................ Wide Bay (Qld)....................................... Australian Capital Territory...................... Nepean-Blue Mountains (NSW).............. Tasmania............................................... Central Qld............................................ Far North Qld......................................... Far West NSW....................................... Darling Downs-SW Qld.......................... Illawarra-Shoalhaven (NSW)................... Northern Melbourne............................... South Eastern Melbourne...................... Southern NSW....................................... Frankston-Mornington Peninsula (Vic).... Northern Adelaide.................................. Kimberley-Pilbara (WA)........................... Metro North Brisbane............................. Goulburn Valley (Vic).............................. South Western Melbourne..................... South Western Sydney.......................... Macedon Ranges & NW Melb................ Eastern Melbourne................................. Inner NW Melbourne.............................. West Moreton-Oxley (Qld)...................... Bayside (Vic).......................................... Greater Metro South Brisbane................ Inner East Melbourne............................. Lower Murray (Vic/NSW)........................ Northern Sydney.................................... Goldfields-Midwest (WA)........................ Sthn Adelaide-Fleurieu-Kangaroo Is....... South Eastern Sydney........................... Western Sydney.................................... South West WA..................................... Gold Coast (Qld).................................... Perth South Coastal............................... Inner West Sydney................................. Perth North Metro.................................. Central Adelaide & Hills.......................... Bentley-Armadale (WA).......................... Fremantle (WA)...................................... Perth Central & East Metro..................... Sydney North Shore & Beaches............. Sunshine Coast (Qld)............................. Eastern Sydney..................................... North Coast NSW..................................

48 169 120 128 40 87 139 314 197 206 144 136 498 146 187 242 147 319 308 401 211 261 36 276 306 583 498 153 243 376 107 799 138 329 958 520 380 355 437 492 969 491 68 364 142 357 492 1097 322 589 302 724 660 514 530 284 553 651 475 473 666

National Health Performance Authority

www.nhpa.gov.au

Healthy Communities: Immunisation rates for children in 2011–12

20

Aboriginal and Torres Strait Islander children aged 2 years who were fully immunised, 2011–12
Percentages of Aboriginal and Torres Strait Islander children aged 2 years fully immunised, by Medicare Local catchment, 2011–12
Fully immunised at 2 years means that a child aged 24 to less than 27 months received their third or fourth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus, whooping cough and Haemophilus influenzae type b, their third vaccination for polio and hepatitis B and their first vaccination for measles, mumps and rubella1, all prior to the age of 2 years. It is assumed that all previous vaccinations were received.
Highest group

311

701 508 310

95 to 100%
93 up to 95% 90 up to 93%
309 308 307 306 507 405 506 213 404 214 211 215 116 216 217 114 118 115 111

vi.

85 up to 90% 80 up to 85% 75 up to 80% 70 up to 75%
Lowest group

113

65 up to 70% Not published3
i. ii.
508

v. iv.
117

212

Medicare Local boundary

Numbers on maps are Medicare Local catchment codes on the opposite page Interpret with caution4

iii.

601

i. Greater Perth

ii. Greater Adelaide
405

iii. Greater Melbourne
214 216 215 211 204 205 201 207

iv. ACT

502 501 503

401

504 506

402

801 117

404

203 210

206 202 208 209

505

403

217

1.  For more details on the diseases and immunisations see Immunise Australia Program. Diseases and Programs A - Z. www.immunise.health.gov.au Accessed 26/02/2013. 2. Results are reported as whole numbers. However, for graphical display they are plotted by 2 decimal places. 3.  Medicare Local catchments with less than 26 registered children in the age group are not reported. For more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 4. Interpret with caution as the eligible population is between 26 and 100 children so small data errors can affect results.  Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

21

Healthy Communities: Immunisation rates for children in 2011–12

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National Health Performance Authority

Aboriginal and Torres Strait Islander children fully immunised

Aged 2 years

vi. Greater Brisbane
307

Percentages of Aboriginal and Torres Strait Islander children aged 2 years fully immunised2, by Medicare Local catchment, 2011–12
Map Ref. 701 303 109 311 301 601 115 101 210 309 103 217 214 305 508 201 111 216 106 212 404 211 110 116 306 507 113 209 114 403 801 405 310 104 307 302 308 215 203 118 304 208 502 205 102 506 213 105 504 117 503 505 401 501 204 402 202 207 206 107 108

Medicare Local catchments
92%
Northern Territory................................... Gold Coast (Qld).................................... Central Coast NSW................................ Far North Qld......................................... Metro North Brisbane............................. Tasmania............................................... Western NSW........................................ Eastern Sydney..................................... Barwon (Vic).......................................... Central & NW Qld.................................. South Eastern Sydney........................... Gippsland (Vic)....................................... Loddon-Mallee-Murray (Vic/NSW).......... West Moreton-Oxley (Qld)...................... Kimberley-Pilbara (WA)........................... Inner NW Melbourne.............................. Hunter (NSW)........................................ Hume (Vic/NSW).................................... Nepean-Blue Mountains (NSW).............. Great South Coast (Vic).......................... Country South SA.................................. Grampians (Vic)..................................... Illawarra-Shoalhaven (NSW)................... Murrumbidgee (NSW)............................ Darling Downs-SW Qld.......................... Goldfields-Midwest (WA)........................ North Coast NSW.................................. Frankston-Mornington Peninsula (Vic).... New England (NSW).............................. Sthn Adelaide-Fleurieu-Kangaroo Is....... Australian Capital Territory...................... Country North SA.................................. Townsville-Mackay (Qld)......................... South Western Sydney.......................... Wide Bay (Qld)....................................... Greater Metro South Brisbane................ Central Qld............................................ Goulburn Valley (Vic).............................. South Western Melbourne..................... Far West NSW....................................... Sunshine Coast (Qld)............................. South Eastern Melbourne...................... Perth North Metro.................................. Northern Melbourne............................... Inner West Sydney................................. South West WA..................................... Lower Murray (Vic/NSW)........................ Western Sydney.................................... Bentley-Armadale (WA).......................... Southern NSW....................................... Fremantle (WA)...................................... Perth South Coastal............................... Northern Adelaide.................................. Perth Central & East Metro..................... Macedon Ranges & NW Melb................ Central Adelaide & Hills.......................... Bayside (Vic).......................................... Eastern Melbourne................................. Inner East Melbourne............................. Northern Sydney.................................... Sydney North Shore & Beaches.............

Aboriginal and Torres Strait Islander children 70% 80%

All children 90% 100%

Number not fully immunised

National fully immunised rate
304

2 years

301 306 305 302

303

113

v. Greater Sydney

111

109 106

107 105 108

102

101

104

103

110

97% 97% 96% 95% 95% 95% 94% 94% 4 94% 4 94% 94% 4 94% 4 94% 4 94% 93% 93% 4 93% 93% 4 93% 93% 4 93% 4 93% 4 93% 92% 92% 92% 92% 92% 4 92% 91% 4 91% 91% 91% 91% 91% 91% 91% 90% 4 90% 4 90% 89% 89% 4 89% 88% 4 88% 88% 88% 4 86% 86% 85% 85% 4 85% 84% 83% 82% 4 80% NP 3 NP 3 NP 3 NP 3 NP 3

51 7 9 57 16 22 30 ≤5 ≤5 16 ≤5 6 ≤5 21 36 ≤5 32 ≤5 10 ≤5 7 ≤5 18 14 39 28 44 ≤5 32 8 9 23 63 22 19 38 33 7 ≤5 17 16 ≤5 13 9 13 32 11 33 31 17 11 17 32 27 8 26

Notes:  Data exclude a number of invalid and unallocated postcodes – for more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au This data reflects the results for children identified as Aboriginal and Torres Strait Islander in the ACIR in 2011–12. Levels of identification may vary between Medicare Local catchments.

National Health Performance Authority

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Healthy Communities: Immunisation rates for children in 2011–12

22

Children aged 5 years who were fully immunised, 2011–12
Percentages of children aged 5 years fully immunised, by Medicare Local catchment, 2011–12
Fully immunised at 5 years means that a child aged 60 to less than 63 months received their fourth or fifth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus and whooping cough, their fourth vaccination for polio and their second vaccination for measles mumps and rubella1, all prior to the age of 5 years. It is assumed that all previous vaccinations were received.

311

701 508 310

vi.
Highest group

95 to 100%
93 up to 95% 90 up to 93%

309

308 307 306

85 up to 90% 80 up to 85%
Lowest group

507 405 506 213 404 214 211 215 116 216 217 114 118 115 111 113

75 up to 80%

v. iv.
117

i. ii.

212

iii.

Medicare Local boundary

111

Numbers on maps are Medicare Local catchment codes on the opposite page

601

i. Greater Perth

ii. Greater Adelaide
405

iii. Greater Melbourne
214 216 215 211 204 205 201 207

iv. ACT

502 501 503

401

504 506

402

801 117

404

203 210

206 202 208 209

505

403

217

1.  For more details on the diseases and immunisations see Immunise Australia Program. Diseases and Programs A - Z. www.immunise.health.gov.au Accessed 26/02/2013. 2. Results are reported as whole numbers. However, for graphical display they are plotted by 2 decimal places. Note:  Data exclude a number of invalid and unallocated postcodes – for more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

23

Healthy Communities: Immunisation rates for children in 2011–12

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National Health Performance Authority

Children fully immunised

Aged 5 years

vi. Greater Brisbane
307

Percentages of children aged 5 years fully immunised2, by Medicare Local catchment, 2011–12
Map Ref. 212 216 217 111 211 116 110 307 214 210 109 202 309 114 801 103 306 310 206 205 209 204 405 203 601 208 207 215 305 301 104 115 311 106 302 201 105 308 107 117 506 701 507 303 404 102 401 118 213 108 505 304 503 502 403 402 508 504 501 113 101

Medicare Local catchments
90%
95% 93% 93% 93% 93% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 92% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 91% 90% 90% 90% 90% 90% 89% 89% 89% 89% 89% 89% 89% 88% 88% 88% 87% 87% 87% 87% 87% 87% 87% 86% 86% 86% 86% 86% 84%
70% 80% 90% 100%

Number not fully immunised

National fully immunised rate
304

5 years

301 306 305 302

303

113

v. Greater Sydney

111

109 106

107 105 108

102

101

104

103

110

Statistical Area Level 3 and Postcode-level data available postcode-level data available at at www.nhpa.gov.au www.nhpa.gov.au

Great South Coast (Vic).......................... Hume (Vic/NSW).................................... Gippsland (Vic)....................................... Hunter (NSW)........................................ Grampians (Vic)..................................... Murrumbidgee (NSW)............................ Illawarra-Shoalhaven (NSW)................... Wide Bay (Qld)....................................... Loddon-Mallee-Murray (Vic/NSW).......... Barwon (Vic).......................................... Central Coast NSW................................ Bayside (Vic).......................................... Central & NW Qld.................................. New England (NSW).............................. Australian Capital Territory...................... South Eastern Sydney........................... Darling Downs-SW Qld.......................... Townsville-Mackay (Qld)......................... Inner East Melbourne............................. Northern Melbourne............................... Frankston-Mornington Peninsula (Vic).... Macedon Ranges & NW Melb................ Country North SA.................................. South Western Melbourne..................... Tasmania............................................... South Eastern Melbourne...................... Eastern Melbourne................................. Goulburn Valley (Vic).............................. West Moreton-Oxley (Qld)...................... Metro North Brisbane............................. South Western Sydney.......................... Western NSW........................................ Far North Qld......................................... Nepean-Blue Mountains (NSW).............. Greater Metro South Brisbane................ Inner NW Melbourne.............................. Western Sydney.................................... Central Qld............................................ Northern Sydney.................................... Southern NSW....................................... South West WA..................................... Northern Territory................................... Goldfields-Midwest (WA)........................ Gold Coast (Qld).................................... Country South SA.................................. Inner West Sydney................................. Northern Adelaide.................................. Far West NSW....................................... Lower Murray (Vic/NSW)........................ Sydney North Shore & Beaches............. Perth South Coastal............................... Sunshine Coast (Qld)............................. Fremantle (WA)...................................... Perth North Metro.................................. Sthn Adelaide-Fleurieu-Kangaroo Is....... Central Adelaide & Hills.......................... Kimberley-Pilbara (WA)........................... Bentley-Armadale (WA).......................... Perth Central & East Metro..................... North Coast NSW.................................. Eastern Sydney.....................................

71 168 234 623 202 201 362 197 216 285 336 537 57 208 398 501 371 484 604 770 329 622 228 372 592 693 492 194 539 1098 1274 352 376 480 1252 417 1287 328 543 265 446 377 192 742 203 782 630 62 113 757 456 602 368 940 621 755 206 741 787 896 592

National Health Performance Authority

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Healthy Communities: Immunisation rates for children in 2011–12

24

Aboriginal and Torres Strait Islander children aged 5 years who were fully immunised, 2011–12
Percentages of Aboriginal and Torres Strait Islander children aged 5 years fully immunised, by Medicare Local catchment, 2011–12
Fully immunised at 5 years means that a child aged 60 to less than 63 months received their fourth or fifth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus and whooping cough, their fourth vaccination for polio and their second vaccination for measles mumps and rubella1, all prior to the age of 5 years. It is assumed that all previous vaccinations were received.
Highest group

311

701 508 310

95 to 100%
93 up to 95% 90 up to 93%
309 308 307 306 507 405 506 213 404 214 211 215 116 216 217 114 118 115 111

vi.

85 up to 90% 80 up to 85% 75 up to 80% 70 up to 75%
Lowest group

113

65 up to 70% Not published3
i. ii.
303

v. iv.
117

212

Medicare Local boundary

Numbers on maps are Medicare Local catchment codes on the opposite page Interpret with caution4

iii.

601

i. Greater Perth

ii. Greater Adelaide
405

iii. Greater Melbourne
214 216 215 211 204 205 201 207

iv. ACT

502 501 503

401

504 506

402

801 117

404

203 210

206 202 208 209

505

403

217

1.  For more details on the diseases and immunisations see Immunise Australia Program. Diseases and Programs A - Z. www.immunise.health.gov.au Accessed 26/02/2013. 2. Results are reported as whole numbers. However, for graphical display they are plotted by 2 decimal places. 3.  Medicare Local catchments with less than 26 registered children in the age group are not reported. For more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 4. Interpret with caution as the eligible population is between 26 and 100 children so small data errors can affect results.  Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

25

Healthy Communities: Immunisation rates for children in 2011–12

www.nhpa.gov.au

National Health Performance Authority

Aboriginal and Torres Strait Islander children fully immunised

Aged 5 years

vi. Greater Brisbane
307

Percentages of Aboriginal and Torres Strait Islander children aged 5 years fully immunised2, by Medicare Local catchment, 2011–12
Map Ref. 210 309 303 103 701 209 111 601 109 216 311 306 205 304 211 110 214 305 801 104 302 301 105 106 506 507 217 310 212 215 307 113 114 102 208 204 508 118 405 115 101 308 116 213 505 404 401 402 117 207 503 403 501 504 502 202 206 201 107 203 108

Medicare Local catchments
87%
Barwon (Vic).......................................... Central & NW Qld.................................. Gold Coast (Qld).................................... South Eastern Sydney........................... Northern Territory................................... Frankston-Mornington Peninsula (Vic) ... Hunter (NSW)........................................ Tasmania............................................... Central Coast NSW................................ Hume (Vic/NSW) ................................... Far North Qld......................................... Darling Downs-SW Qld.......................... Northern Melbourne............................... Sunshine Coast (Qld)............................. Grampians (Vic) .................................... Illawarra-Shoalhaven (NSW)................... Loddon-Mallee-Murray (Vic/NSW) ......... West Moreton-Oxley (Qld)...................... Australian Capital Territory...................... South Western Sydney.......................... Greater Metro South Brisbane................ Metro North Brisbane............................. Western Sydney.................................... Nepean-Blue Mountains (NSW).............. South West WA..................................... Goldfields-Midwest (WA)........................ Gippsland (Vic) ...................................... Townsville-Mackay (Qld)......................... Great South Coast (Vic) ......................... Goulburn Valley (Vic) ............................. Wide Bay (Qld)....................................... North Coast NSW.................................. New England (NSW).............................. Inner West Sydney................................. South Eastern Melbourne...................... Macedon Ranges & NW Melb................ Kimberley-Pilbara (WA)........................... Far West NSW....................................... Country North SA.................................. Western NSW........................................ Eastern Sydney..................................... Central Qld............................................ Murrumbidgee (NSW)............................ Lower Murray (Vic/NSW) ....................... Perth South Coastal............................... Country South SA.................................. Northern Adelaide.................................. Central Adelaide & Hills.......................... Southern NSW....................................... Eastern Melbourne................................. Fremantle (WA) ..................................... Sthn Adelaide-Fleurieu-Kangaroo Is....... Perth Central & East Metro..................... Bentley-Armadale (WA).......................... Perth North Metro.................................. Bayside (Vic).......................................... Inner East Melbourne............................. Inner NW Melbourne.............................. Northern Sydney.................................... South Western Melbourne..................... Sydney North Shore & Beaches.............

Aboriginal and Torres Strait Islander children 70% 80%

All children 90% 100%

Number not fully immunised

National fully immunised rate
304

5 years

301 306 305 302

303

113

v. Greater Sydney

111

109 106

107 105 108

102

101

104

103

110

95% 4 95% 94% 93% 4 92% 92% 4 92% 92% 92% 91% 4 91% 91% 91% 4 91% 90% 4 90% 90% 4 90% 90% 4 90% 89% 88% 88% 88% 87% 87% 87% 4 87% 86% 4 86% 4 86% 86% 86% 85% 4 85% 4 84% 4 84% 84% 83% 83% 83% 4 83% 83% 82% 4 80% 80% 4 78% 76% 4 76% 76% 4 76% 4 75% 4 74% 71% 70% NP 3 NP 3 NP 3 NP 3 NP 3 NP 3

≤5 12 9 ≤5 110 ≤5 35 27 15 6 95 40 7 10 ≤5 19 8 33 10 22 43 33 24 17 32 45 10 78 ≤5 9 24 75 50 12 6 6 87 23 36 78 7 54 32 14 24 16 35 24 28 7 14 20 45 61 48

Notes:  Data exclude a number of invalid and unallocated postcodes – for more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au This data reflects the results for children identified as Aboriginal and Torres Strait Islander in the ACIR in 2011–12. Levels of identification may vary between Medicare Local catchments.

National Health Performance Authority

www.nhpa.gov.au

Healthy Communities: Immunisation rates for children in 2011–12

26

Child immunisation rates
Statistical areas 2011–12

28

Children aged 1 year who were fully immunised, by statistical area, 2011–12
Variation within Medicare Local catchments
The maps on these pages show the percentages of children aged 1 year who were fully immunised by geographic areas referred to as Statistical Areas Level 3 (SA3).1 The numbers of children not fully immunised for each statistical area1 are also shown. There was large variation in the number of children aged 1 year not fully immunised across statistical areas1, ranging from less than 25 children to around 270.

Findings
In 2011–12, the percentages of children aged 1 year who were fully immunised varied across statistical areas1, ranging from 96% to 82%. The statistical areas1 with the highest percentage were Sutherland - Menai - Heathcote (NSW), Wodonga - Alpine (Vic), Grampians (Vic), Strathpine (Qld), Lower North (SA) and Weston Creek (ACT). The statistical area1 with the lowest percentage was Richmond Valley - Coastal (NSW). The location of the statistical areas1 with the highest and lowest percentages are shown on the maps.

What does fully immunised at 1 year mean?
Fully immunised at 1 year means that a child aged 12 months to less than 15 months received their third vaccination for diphtheria, tetanus, whooping cough and polio, and either their second or third vaccination (dependent on the type of vaccine used) for hepatitis B and Haemophilus influenzae type b, all prior to the age of 1 year. It is assumed that all previous vaccinations were received. 

ercentages of children aged 1 year who are fully immunised by number not fully immunised2 and P statistical area1, 2011–12
98% 96% 94% 92% 90% 88% 86% 84% 82% 80% 78%
Richmond Valley - Coastal (NSW) Sutherland - Menai - Heathcote (NSW), Wodonga - Alpine (Vic), Grampians (Vic), Strathpine (Qld), Lower North (SA) and Weston Creek (ACT)

Each dot represents one SA3. The colour of the dot represents the % of children fully immunised. The size of the dot represents the number of children not fully immunised.

Percentage fully immunised 95 to 100% 90 up to 95% 85 up to 90% 80 up to 85% 75 up to 80%
∙∙∙ 93 up to 95% ∙∙∙ 90 up to 93%

Number not fully immunised ≤ 25 50 100 200 300 400

29

Healthy Communities: Immunisation rates for children in 2011–12

www.nhpa.gov.au

National Health Performance Authority

Children fully immunised

Aged 1 year

Percentages of children aged 1 year fully immunised, by statistical area, 2011–12
Statistical Area Level 3 and Postcode-level data available postcode-level data available at at www.nhpa.gov.au www.nhpa.gov.au

Richmond Valley Coastal

Lower North

Grampians

Wodonga - Alpine

Percentages and numbers of children aged 1 year fully immunised2, 2011–12
Children in group3
Highest group

Fully Not fully immunised immunised

95 to 100%
93 up to 95% 90 up to 93%

15,350 254,335 25,228 844

14,598 234,078 22,203 696

752 20,257 3,025 148 Medicare Local catchment boundary ABS Statistical Area Level 3 (SA3) boundary Highest % fully immunised Lowest % fully immunised

85 up to 90% 80 up to 85%
Lowest group

75 up to 80% Not published3 Total 1,581 297,338 1,403 272,978 178 24,360

Interpret with caution4

1.  For more information about SA3s see Australian Bureau of Statistics (2010) Australian Statistical Geography Standard (ASGS): Volume 1 – Main Structure and Greater Capital Cities Statistical Areas, July 2011. www.abs.gov.au Accessed 26/02/2013. 2.  Figures are rounded - see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 3.  SA3 data exclude a number of invalid and unallocated postcodes, and SA3s with less than 26 registered children in the age group are not reported. For more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 4.  Interpret with caution as the eligible population is between 26 and 100 children so small data errors can affect results. Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

National Health Performance Authority

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Healthy Communities: Immunisation rates for children in 2011–12

30

Children aged 1 year who were fully immunised, by statistical area, 2011–12
Variation within Medicare Local catchments
vii. i. Greater Perth

Percentages of children aged 1 year fully immunised1, by statistical area2, 2011–12
Highest group

vi.

95 to 100%
93 up to 95% 90 up to 93%

PERTH
i.
ROCKINGHAM

85 up to 90%
Lowest group

ii.

v. iii. iv. viii.

80 up to 85% 75 up to 80% Not published3

MANDURAH

Medicare Local catchment boundary ABS Statistical Area Level 3 (SA3) boundary

Highest % fully immunised Lowest % fully immunised Interpret with caution4

ii. Greater Adelaide

iii. Greater Melbourne

ADELAIDE

MELBOURNE
GEELONG

31

Healthy Communities: Immunisation rates for children in 2011–12

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National Health Performance Authority

Children fully immunised

Aged 1 year

iv. ACT

v. Greater Sydney

CANBERRA
Weston Creek

NEWCASTLE

SYDNEY
vi. Greater Brisbane
Sutherland - Menai Heathcote

WOLLONGONG SUNSHINE COAST

Strathpine

BRISBANE

vii. Greater Darwin

viii. Greater Hobart

DARWIN
GOLD COAST

HOBART

1.  Figures are rounded - see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 2.  For more information about SA3s see Australian Bureau of Statistics (2010) Australian Statistical Geography Standard (ASGS): Volume 1 – Main Structure and Greater Capital Cities Statistical Areas, July 2011. www.abs.gov.au Accessed 26/02/2013. 3.  SA3s with less than 26 registered children in the age group are not reported. For more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 4.  Interpret with caution as the eligible population is between 26 and 100 children so small data errors can affect results. Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

National Health Performance Authority

www.nhpa.gov.au

Healthy Communities: Immunisation rates for children in 2011–12

32

Children aged 2 years who were fully immunised, by statistical area, 2011–12
Variation within Medicare Local catchments
The maps on these pages show the percentages of children aged 2 years who were fully immunised by geographic areas referred to as Statistical Areas Level 3 (SA3).1 The numbers of children not fully immunised for each statistical area1 are also shown. There was large variation in the number of children aged 2 years not fully immunised across statistical areas1, ranging from less than 25 children to around 260.

Findings
In 2011–12, the percentage of children aged 2 years who were fully immunised varied across statistical areas1, ranging from 97% to 80%. The statistical areas1 with the highest percentage were Camden (NSW), Charters Towers - Ayr Ingham (Qld), Mid North (SA), East Arnhem (NT), Whitsunday (Qld) and Loddon-Elmore (Vic). The statistical area1 with the lowest percentage was Richmond Valley - Coastal (NSW). The location of the statistical areas1 with the highest and lowest percentages are shown on the maps.

What does fully immunised at 2 years mean?
Fully immunised at 2 years means that a child aged 24 to less than 27 months received their third or fourth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus, whooping cough and Haemophilus influenzae type b, their third vaccination for polio and hepatitis B and their first vaccination for measles, mumps and rubella, all prior to the age of 2 years. It is assumed that all previous vaccinations were received. 

ercentages of children aged 2 years who are fully immunised by number not fully immunised2 and P statistical area1, 2011–12
98% Camden (NSW), Charters Towers - Ayr - Ingham (Qld), Mid North (SA), East Arnhem (NT), Whitsunday (Qld) and Loddon-Elmore (Vic) 96% 94% 92% 90% 88% 86% 84% 82% 80% 78%
Richmond Valley - Coastal (NSW)

Each dot represents one SA3. The colour of the dot represents the % of children fully immunised. The size of the dot represents the number of children not fully immunised.

Percentage fully immunised 95 to 100% 90 up to 95% 85 up to 90% 80 up to 85% 75 up to 80%
∙∙∙ 93 up to 95% ∙∙∙ 90 up to 93%

Number not fully immunised ≤ 25 50 100 200 300 400

33

Healthy Communities: Immunisation rates for children in 2011–12

www.nhpa.gov.au

National Health Performance Authority

Children fully immunised

Aged 2 years

Percentages of children aged 2 years fully immunised, by statistical area, 2011–12
Statistical Area Level 3 and Postcode-level data available postcode-level data available at at www.nhpa.gov.au www.nhpa.gov.au
East Arnhem

Charters Towers - Ayr - Ingham Whitsunday

Richmond Valley Coastal

Mid North

Loddon - Elmore

Percentages and numbers of children aged 2 years fully immunised2, 2011–12
Children in group3
Highest group

Fully immunised

Not fully immunised

95 to 100%
93 up to 95% 90 up to 93%

51,631 228,182 18,401 1,852

49,235 210,934 16,226 1,525

2,396 17,248 2,175 327 Medicare Local catchment boundary ABS Statistical Area Level 3 (SA3) boundary Highest % fully immunised Lowest % fully immunised

85 up to 90% 80 up to 85%
Lowest group

75 up to 80% Not published3 Total 1,618 301,683 1,428 279,349 190 22,334

Interpret with caution4

1.  For more information about SA3s see Australian Bureau of Statistics (2010) Australian Statistical Geography Standard (ASGS): Volume 1 – Main Structure and Greater Capital Cities Statistical Areas, July 2011. www.abs.gov.au Accessed 26/02/2013. 2.  Figures are rounded - see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 3.  SA3 data exclude a number of invalid and unallocated postcodes, and SA3s with less than 26 registered children in the age group are not reported. For more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 4.  Interpret with caution as the eligible population is between 26 and 100 children so small data errors can affect results. Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

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Children aged 2 years who were fully immunised, by statistical area, 2011–12
Variation within Medicare Local catchments
vii. i. Greater Perth

Percentages of children aged 2 years fully immunised1, by statistical area2, 2011–12
Highest group

vi.

95 to 100%
93 up to 95% 90 up to 93%

PERTH
i.
ROCKINGHAM

85 up to 90%
Lowest group

ii.

v. iii. iv. viii.

80 up to 85% 75 up to 80% Not published3

MANDURAH

Medicare Local catchment boundary ABS Statistical Area Level 3 (SA3) boundary

Highest % fully immunised Lowest % fully immunised Interpret with caution4

ii. Greater Adelaide

iii. Greater Melbourne

ADELAIDE

MELBOURNE
GEELONG

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Children fully immunised

Aged 2 years

iv. ACT

v. Greater Sydney

CANBERRA

NEWCASTLE

SYDNEY
vi. Greater Brisbane
Camden

WOLLONGONG SUNSHINE COAST

BRISBANE

vii. Greater Darwin

viii. Greater Hobart

DARWIN
GOLD COAST

HOBART

1.  Figures are rounded - see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 2.  For more information about SA3s see Australian Bureau of Statistics (2010) Australian Statistical Geography Standard (ASGS): Volume 1 – Main Structure and Greater Capital Cities Statistical Areas, July 2011. www.abs.gov.au Accessed 26/02/2013. 3.  SA3s with less than 26 registered children in the age group are not reported. For more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 4.  Interpret with caution as the eligible population is between 26 and 100 children so small data errors can affect results. Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

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Children aged 5 years who were fully immunised, by statistical area, 2011–12
Variation within Medicare Local catchments
The maps on these pages show the percentages of children aged 5 years who were fully immunised by geographic areas referred to as Statistical Areas Level 3 (SA3)1. The numbers of children not fully immunised for each statistical area1 are also shown. There was large variation in the number of children aged 5 years not fully immunised across statistical areas1, ranging from less than 25 children to around 360.

Findings
In 2011–12, the percentages of children aged 5 years who were fully immunised varied across statistical areas1, ranging from 96% to 79%. The statistical areas1 with the highest percentage were Maitland (NSW) and Yorke Peninsula (SA). The statistical areas1 with the lowest percentage were Richmond Valley - Coastal (NSW) and Adelaide City (SA). The location of the statistical areas1 with the highest and lowest percentages are shown on the maps.

What does fully immunised at 5 years mean?
Fully immunised at 5 years means that a child aged 60 to less than 63 months received their fourth or fifth vaccination (dependent on the type of vaccine used) for diphtheria, tetanus and whooping cough, their fourth vaccination for polio and their second vaccination for measles mumps and rubella, all prior to the age of 5 years. It is assumed that all previous vaccinations were received.

Percentages of children aged 5 years who are fully immunised by number not fully immunised2 and statistical area1, 2011–12
98% 96% 94% 92% 90% 88% 86% 84% 82% 80% 78%
Richmond Valley - Coastal (NSW), Adelaide City (SA) Maitland (NSW), Yorke Peninsula (SA)

Each dot represents one SA3. The colour of the dot represents the % of children fully immunised. The size of the dot represents the number of children not fully immunised.

Percentage fully immunised 95 to 100% 90 up to 95% 85 up to 90% 80 up to 85% 75 up to 80%
∙∙∙ 93 up to 95% ∙∙∙ 90 up to 93%

Number not fully immunised ≤ 25 50 100 200 300 400

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Children fully immunised

Aged 5 years

Percentages of children aged 5 years fully immunised, by statistical area1, 2011–12
Statistical Area Level and Postcode-level data 3 available postcode-level data available at at www.nhpa.gov.au www.nhpa.gov.au

Richmond Valley Coastal

Yorke Peninsula

Percentages and numbers of children aged 5 years fully immunised2, 2011–12
Children in group3
Highest group

Fully immunised

Not fully immunised

95 to 100%
93 up to 95% 90 up to 93%

1,714 191,119 92,138 11,660 1,023 1,699 299,352

1,637 175,091 80,581 9,716 806 1,446 269,277

77 16,028 11,557 1,944 217 253 30,075 Medicare Local catchment boundary ABS Statistical Area Level 3 (SA3) boundary Highest % fully immunised Lowest % fully immunised Interpret with caution4

85 up to 90% 80 up to 85%
Lowest group

75 up to 80% Not published3 Total

1.  For more information about SA3s see Australian Bureau of Statistics (2010) Australian Statistical Geography Standard (ASGS): Volume 1 – Main Structure and Greater Capital Cities Statistical Areas, July 2011. www.abs.gov.au Accessed 26/02/2013. 2.  Figures are rounded - see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 3.  SA3 data exclude a number of invalid and unallocated postcodes, and SA3s with less than 26 registered children in the age group are not reported. For more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 4.  Interpret with caution as the eligible population is between 26 and 100 children so small data errors can affect results. Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

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Children aged 5 years who were fully immunised, by statistical area, 2011–12
Variation within Medicare Local catchments
vii. i. Greater Perth

Percentages of children aged 5 years fully immunised1, by statistical area2, 2011–12
Highest group

vi.

95 to 100%
93 up to 95% 90 up to 93%

PERTH
i.
ROCKINGHAM

85 up to 90%
Lowest group

ii.

v. iii. iv. viii.

80 up to 85% 75 up to 80% Not published3

MANDURAH

Medicare Local catchment boundary ABS Statistical Area Level 3 (SA3) boundary

Highest % fully immunised Lowest % fully immunised Interpret with caution4

ii. Greater Adelaide

iii. Greater Melbourne

Adelaide City

ADELAIDE

MELBOURNE
GEELONG

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Children fully immunised

Aged 5 years

iv. ACT

v. Greater Sydney

Maitland

CANBERRA

NEWCASTLE

SYDNEY
vi. Greater Brisbane

WOLLONGONG SUNSHINE COAST

BRISBANE

vii. Greater Darwin

viii. Greater Hobart

DARWIN
GOLD COAST

HOBART

1.  Figures are rounded - see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 2.  For more information about SA3s see Australian Bureau of Statistics (2010) Australian Statistical Geography Standard (ASGS): Volume 1 – Main Structure and Greater Capital Cities Statistical Areas, July 2011. www.abs.gov.au Accessed 26/02/2013. 3.  SA3s with less than 26 registered children in the age group are not reported. For more information see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement www.nhpa.gov.au 4.  Interpret with caution as the eligible population is between 26 and 100 children so small data errors can affect results. Source:  Department of Human Services, Australian Childhood Immunisation Register statistics 2011–12, data supplied 14/01/2013.

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Glossary
This glossary defines technical and medical terms used in this report. For more information, please see Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement.

Diphtheria

Diphtheria is an acute illness caused by the bacterium Corynebacterium diphtheriae. Symptoms include severe inflammation of the nose, throat and windpipe leading to breathing and swallowing problems. Diphtheria can cause nerve and heart damage, and result in death. Fully immunised means received the scheduled vaccinations according to age for hepatitis B (hepB); diphtheria, tetanus and whooping cough (acellular pertussis) (DTPa); Haemophilus influenzae type B (Hib); poliomyelitis (inactivated poliomyelitis IPV); and measles, mumps and rubella (MMR). See Healthy Communities: Immunisation rates for children in 2011–12, Technical Supplement for more information. See rubella.

Fully immunised

German measles

Haemophilus Haemophilus influenzae type B is a bacterium that causes meningitis and influenzae type B (Hib) other serious infections in young children. Hepatitis Hepatitis means inflammation of the liver. The most common types of viral hepatitis are hepatitis A, hepatitis B and hepatitis C. An infection occurs when bacteria or viruses enter the human body. If the body cannot fight the infection, the person may get sick. Measles, rubella, mumps, polio and hepatitis B are examples of infections caused by viruses. Diphtheria, tetanus, pertussis and Hib are examples of infections caused by bacteria. Immunisation means both receiving a vaccine and becoming immune to a disease as a result of being vaccinated. Measles is a highly infectious disease caused by the Morbillivirus. Symptoms include rash, fever cough, runny nose and inflammation of the eye. A Medicare Local is an organisation that has responsibility for the provision, delivery and coordination of primary health care services in a defined geographical area. There are 61 Medicare Locals across Australia.

Infection

Immunisation

Measles

Medicare Local

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Medicare Local catchment Meningitis Mumps

A Medicare Local catchment is a population that lives in a specific geographical area defined as a Medicare Local. See Medicare Local. See Haemophilus influenzae type B (Hib). Mumps is a salivary gland infection caused by the Rubulavirus. Symptoms include swelling under the jaw, fever, headache and aching muscles.

National Immunisation The schedule which describes the 16 vaccinations that are provided free to Program Schedule Australians under childhood programs, school programs and programs for special groups. Pertussis Polio See whooping cough. Polio, also known as poliomyelitis, is caused by a highly infectious virus. Symptoms include headache, nausea and vomiting, tiredness, stiffness and muscle pain. Polio also causes paralysis and in some cases is fatal. Rubella, also known as German measles, is a viral illness that causes a rash and joint pains. A statistical area or a Statistical Area Level 3 is a geographic area defined by the Australian Bureau of Statistics (ABS) which has a population of between 30,000 and 130,000 people. There are more than 300 Statistical Areas Level 3 in Australia. Tetanus, also known as lockjaw, is a serious disease caused by the bacterium Clostridium tetani. Caused by a toxin made by bacteria present in soil, dust and manure, tetanus attacks the nervous system and causes severe muscle spasms leading to breathing difficulties, painful convulsions and abnormal heart rhythms. Vaccination means having a vaccine – that is actually getting the injection. A product made from whole, or extracts of, killed viruses or bacteria, or from live weakened strains of viruses or bacteria. Whooping cough, also known as pertussis, is a serious, contagious respiratory infection caused by the bacterium Bordetella pertussis.

Rubella

Statistical area

Tetanus

Vaccination Vaccine

Whooping cough

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Acknowledgements
This report has benefited from advice from a number of individuals and organisations with interest and expertise in immunisation. The National Health Performance Authority received advice from its Immunisation Advisory Group. The Advisory Group comprised: • Professor Peter McIntyre -- National Immunisation Committee -- Director, National Centre for Immunisation Research & Surveillance -- Professor, Discipline of Paediatrics and Child Health and School of Public Health, University of Sydney • Dr Aditi Dey -- National Centre for Immunisation Research & Surveillance • Professor Terry Nolan -- Chair, Australian Technical Advisory Group on Immunisation -- Head, Melbourne School of Population and Global Health, University of Melbourne • Ms Debra Petrys -- Consumer representative nominated to bring a consumer perspective by the Consumers Health Forum of Australia • Ms Helen Moore -- National Immunisation Committee -- National Principal Adviser – Immunisation, Australian Medicare Local Alliance • Ms Karen Peterson -- National Immunisation Committee -- Immunisation Manager, Queensland Health • Dr Michael Crampton -- RACGP representative, National Immunisation Committee -- General Practitioner, Clinical Director, WentWest Ltd • Mr Michael Frost -- Deputy Head of Secretariat, COAG Reform Council The Authority also received advice from representatives of: • the National Advisory Group on Aboriginal and Torres Strait Islander Health Information Data • the National Aboriginal and Torres Strait Islander Health Standing Committee • the National Aboriginal Community Controlled Health Organisation. This report relies on data provided by the Australian Government Department of Health and Ageing (DoHA) from the Australian Childhood Immunisation Register (ACIR). These data were used to calculate the performance measures in this report. The Authority does a number of checks to ensure data quality, and also relies on the data quality work of DoHA and the Australian Government Department of Human Services for the ACIR. Thanks are extended to all those who contributed.

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National Health Performance Authority MDP 158, GPO Box 9848 Sydney, NSW 2001, Australia Telephone:  +61 2 9186 9210 www.nhpa.gov.au

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